At GlobalHealth,
your benefits begin on Day 1 of coverage, which means you don't have to meet any deductibles before you
use your GlobalHealth plan. With
money-saving benefits, along with the security of a solid network of physicians and hospitals to choose
from, taking care of you and your family has never been so easy.
How's that for pain relief?

15 Continuous Years Serving State of Oklahoma Employees and Educators

I recently called GlobalHealth to speak to someone about my behavioral health benefits. I spoke with Toni in the Behavioral
Health Department. I was very pleased with how kind, compassionate and knowledgeable she was in
helping me with my benefits. I love how GlobalHealth takes care of and values their members!

- Brenda R,
GlobalHealth Member

When I learned I was diagnosed with Ovarian Cancer, the last thing I wanted was to go through it alone. My GlobalHealth case
manager was by my side from the very beginning till the end of all my treatments. And I still talk
to her weekly! GlobalHealth provided me with the peace of mind knowing that all I need to do is
focus on healing.

- Cynthia B,
GlobalHealth Member

I am blessed to know the sweet people at GlobalHealth. It’s like a gift from heaven. I love the whole GlobalHealth team.
GlobalHealth is the best insurance I’ve had in my 8 decades of life, and so are all the sweet workers.
I LOVE GLOBALHEALTH!

- Ruth O,
GlobalHealth Member

Questions? Call us!
844-299-6999 (TTY: 711)
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we will contact you.

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9 out of 10

GlobalHealth members would:

Re-enroll with GlobalHealth

Recommend GlobalHealth to a family member or friend

Source: 2017 Independent Survey.

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based right here in Oklahoma!

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MSTLP 2019

MLGMH19-ST

All benefits described below are excluded or limited under this plan for all types of services. We cover
some benefits only as follows. You pay for additional services.

Medication prescribed for parenteral use or administration, allergy sera, immunizing agents, and immunizing
injectable drugs limited to immunizations covered under preventive care guidelines and given to you at
a network pharmacy.

Non-prescription contraceptive jellies, ointments, foams, or devices limited to those that are FDA-approved
and prescribed by a network doctor for a woman.

Prescription drugs for the treatment of sexual dysfunction, including erectile dysfunction, impotence,
and anorgasmy, hyporgasmy, or decreased libido limited to post-prostate surgery indications.

Two full 90-day courses of FDA-approved tobacco cessation products per year, if prescribed by your PCP.

Members who are at least 18 years old.

Specialty drugs limited to a one-month supply.

Preventive care

Limited to USPSTF, HRSA, and CDC guidelines.

Routine exam for adults limited to one per year.

Routine exam for children and well-child care limited to the American Academy of Pediatrics (AAP) schedule.

Tobacco cessation limited to two attempts per year.

Skilled nursing facility care

Limited to 100 days per year.

Temporomandibular joint dysfunction

Non-surgical treatment limited to a lifetime maximum of $1,500.

Vision

Diabetic eye exam limited to one per year.

Glaucoma test limited to one per year.

Routine services limited to one check-up, including eye refraction, per year.

Treatment for orthoptics or visual training limited to a diagnosis of mild strabismus.

Excluded Services

We do not cover the following benefits. We may pay for care while deciding whether or not the care falls within the excluded
services listed below. If it is later determined that the care is excluded from your coverage, we will
recover the amount we have allowed for benefits. You must give us all documents needed to enforce our rights.

Behavioral health services

Education, tutoring, and services offered through a school/academic institution for the purpose of diagnosing
or treating a learning disability, disruptive, impulse-control, or conduct disorder.

Non-emergency procedures that involve the teeth or their supporting structures.

Replacement, re-implantation, and follow-up care of teeth, even if the teeth are not saved by emergency
stabilization.

Treatment of soft tissue to prepare for dental procedures or dentures.

DME, orthotic devices, and prosthetic appliances

Bandages, pads, or diapers.

Bionic and myoelectric prosthetics.

Changes to your home or vehicle.

Clothing and devices available OTC.

Continuous passive motion devices.

Equipment that serves as comfort or convenience.

For example, portable oxygen concentrators.

Equipment or devices not medical in nature such as:

Braces worn for athletic or recreational use

Ear plugs

Elastic stockings and supports

Garter belts

Jacuzzi/whirlpools.

Mattresses and other bedding or bed-wetting alarms.

Multiple DME items for the same or like purposes.

Power-operated vehicles that may be used as wheelchairs.

Purchase or rental of equipment or supplies for common household use such as:

Air-cleaning machines or filtration devices

Air conditioners

Beds and chairs

Cervical or lumbar pillows

Grab bars

Physical fitness equipment

Raised toilet seats

Shower benches

Traction tables

Water purifiers

Upgrade features to enhance basic equipment.

Upgrade features, accessories, or supplies for hearing aids.

General excluded services

Care or services provided outside the GlobalHealth service area if the need for such care or services could
have been foreseen before leaving the service area.

Charges for injuries resulting from war or act of war (whether declared or undeclared) while serving in
the military or an auxiliary unit attached to the military or working in an area of war whether voluntarily
or as required by an employer.